Active NPI
Carol Lynn Jones
- Phlebotomy Technician
- Deerfield Beach, FL
National Provider Identifier
1811654882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- W5D5K4A5
- Practice address
- 500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Nov 24, 2021
- Last updated
- Nov 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | W5D5K4A5 | NC | Primary |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Mailing address
1135 Apple St
Burlington, NC 27217
Phone (919) 971-1416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W5D5K4A5 | NC | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1811654882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 APPLE ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "27217",
"telephone_number": "919-971-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CAROL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-24",
"last_updated": "2021-11-24",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NC",
"license": "W5D5K4A5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.